Active NPI
Kathleen Brooks, P.T.
- Physical Therapist
- Massapequa, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 017838-1
- Practice address
- 200 Old Sunrise Hwy
Massapequa, NY 11758-5545 - Phone
- (516) 541-6030
- Fax
- (516) 541-6031
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 017838-1 | NY | Primary |
Addresses
Primary practice location
200 Old Sunrise Hwy
Massapequa, NY 11758-5545
Mailing address
200 Old Sunrise Hwy
Massapequa, NY 11758-5545
Phone (516) 541-6030
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 286836 | Other | NY | VYTRA |
| 285715P | Other | NY | HIP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Mercy College, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2608 Merrick Rd
Bellmore, NY 11710-5715
Phone (516) 730-2230
44 Saint Marks PL
New York, NY 10003-8118
Phone (212) 529-5966
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.16 of 100
- Quality
- 70
- Improvement activities
- 40
- Cost
- 78.87
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| True North Medical Group PC | Physical Therapist | Current | Accepting new patients |
| Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Current | Accepting new patients | |
| True North Medical Group PC | Current | Accepting new patients | |
| Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Physical Therapist | Current | Accepting new patients |
Locations
1728 Sunrise Hwy
Merrick, NY 11566
Phone (516) 992-4568
36 Lincoln Ave
Fl 3
Rockville Ctr, NY 11570
36 Lincoln Ave
Fl 2
Rockville Ctr, NY 11570
Phone (516) 766-2176
45 Crossways Park Dr W
Woodbury, NY 11797
Phone (516) 422-8080
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hand Physical Therapist
- East Meadow, NY
- NPI 1770540593
-
dba Orlin & Cohen Medical Specialists Group
- Orthopaedic Surgery Physician
- Merrick, NY
- NPI 1659883486
Physical Therapist
-
- Occupational Therapist
- White Plains, NY
- NPI 1629825591
-
dba Orlin and Cohen Medical Specialist Group
- Oxygen Equipment & Supplies (DME)
- Tarrytown, NY
- NPI 1669272886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326269077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 OLD SUNRISE HWY",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117585545",
"telephone_number": "516-541-6030",
"fax_number": "516-541-6031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 OLD SUNRISE HWY",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117585545",
"telephone_number": "516-541-6030",
"fax_number": "516-541-6031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "KATHLEEN",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "017838-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA",
"identifier": "286836",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "285715P",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Massapequa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.